| NPI | 1215270186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990827-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337844-1) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-07-09 |