| NPI | 1326440439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000410-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 268905) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-09-15 |