| NPI | 1326471137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0992908-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-75996) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2019-05-01 |