| NPI | 1427471424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-72697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990409-NP) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-02-13 |