| NPI | 1386958551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992860-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2259174) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2017-05-17 |