| NPI | 1134390875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5696) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 168749) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2021-04-26 |