| NPI | 1578825220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990366) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 7512442) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-11-18 |