| NPI | 1396004321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990376-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990376) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2014-11-18 |