| NPI | 1821302423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0129079) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO 129079) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2022-11-25 |