| NPI | 1942331582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 3912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R33217) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-09-29 |