| NPI | 1275066391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0992926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0169104) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |