| NPI | 1558641837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0991170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 336577) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2024-04-17 |