| NPI | 1427183458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03000) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MN R1565450) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992244-NP) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2017-02-02 |