| NPI | 1033203401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 20016) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NM R22496) |
| 363L00000X Nurse Practitioner (Licence: NM CNP00382) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-05-12 |