| NPI | 1841418696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN 0991550-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2540642) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-03-18 |