| NPI | 1750756615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0001462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9300282) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-08-05 |