| NPI | 1588732606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990692-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 923) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-03-23 |