| NPI | 1063430635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 20018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 026832-23-03) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-10-07 |