| NPI | 1043390859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991578-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000877A) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-09-28 |