| NPI | 1518230234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0996493-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337129-1) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2022-07-29 |