| NPI | 1912188699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP4933) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0111278) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2023-03-07 |