| NPI | 1689761215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP-10191) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN28042) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-07-15 |