| NPI | 1003117516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008453) |
| 163W00000X Registered Nurse (Licence: CO 201184) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2025-05-14 |