| NPI | 1386920254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 201558) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2017-02-17 |