| NPI | 1992054126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994302-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000738) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2024-12-11 |