| NPI | 1568442945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 195665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 449738) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2012-07-06 |