| NPI | 1215242086 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991870-NP) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704280017) | 
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: CO APN.0991870-NP) | |
| Enumeration Date | 2010-08-17 | 
| Last Update Date | 2016-03-31 |