| NPI | 1477531341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 64615) |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2021-06-08 |