| NPI | 1639347107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0003905-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21459) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2015-12-31 |