| NPI | 1992062574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997437-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007419) |
| 363L00000X Nurse Practitioner (Licence: PA SP022047) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-07-13 |