| NPI | 1003183260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990929) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: PA SP011773) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP011773) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2015-07-27 |