| NPI | 1477980530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991013-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991013) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201392973NP-PP) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2018-03-15 |