| NPI | 1396834313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0002733-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 0871) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-05-25 |