| NPI | 1851736201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0995124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114080) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-02-10 |