| NPI | 1952545204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 53842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 6016) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2018-11-09 |