| NPI | 1689641318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 4391) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 4391) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-03-17 |