| NPI | 1013936897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 178790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NFP7918) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-07-14 |