| NPI | 1013166719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991956-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 198385) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-05-16 |