| NPI | 1144344680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 248053) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0992938-NP) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-06-29 |