| NPI | 1023386919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0995749-NP) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: WY 29968.1138) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-09-15 |