| NPI | 1013439330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0993272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 189441) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-09-08 |