| NPI | 1831233550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 001096) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 79961) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-10-23 |