| NPI | 1326259748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 76841) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-08-26 |