| NPI | 1265628606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990379-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006166) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 514070) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-06-17 |