| NPI | 1225300312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000688) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001230-C-NP) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2018-11-09 |