| NPI | 1710900139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0003117) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005849) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-11-29 |