| NPI | 1235157850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 140631) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 0004396-NP) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-02-20 |