| NPI | 1891023131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 10132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP10132) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2021-08-27 |