| NPI | 1003208661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994008-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI RN.1630829) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2020-08-11 |