| NPI | 1295043008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0994293-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1020181) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2262073) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2020-06-30 |