| NPI | 1972784957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0990944-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 603768) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2017-04-03 |