| NPI | 1609156736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO F05180907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 200330) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2021-08-02 |