| NPI | 1831515055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0160597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM APRNCNP55031) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 842697) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2022-07-19 |