| NPI | 1952745366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1054077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990668-NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990668-NP) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-06-03 |