| NPI | 1043547839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994599-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 187807) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2021-06-22 |