| NPI | 1568592301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 422) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 54669) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-06-18 |