| NPI | 1013206911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 160288) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 990018) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-10-13 |