| NPI | 1942306279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0990481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000373) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 868) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM R39257) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN0100562) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-02-19 |