| NPI | 1932204393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991718-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WY 13353.0723) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-03-07 |