| NPI | 1013135722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 129708) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6391) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-07-11 |