| NPI | 1992188965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000373-C-NP) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-03-18 |