| NPI | 1023386588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 990267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 129404) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2012-08-27 |