| NPI | 1043234974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 186339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041152494) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-03-30 |