| NPI | 1922332436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 10130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 173982) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2018-01-09 |