| NPI | 1033232541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 10073) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP2010) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-08-15 |