| NPI | 1730134735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 991608) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 386158) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-06-21 |