| NPI | 1881927408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0000856-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 284012) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2018-03-17 |