| NPI | 1366899684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN.1620370) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0992527) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-12-31 |