| NPI | 1356565733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993663-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7840016-4405) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-01-12 |