| NPI | 1821360942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991466-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 629938) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 337103) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2019-09-23 |