| NPI | 1063588911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 115978) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 115978) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 13233) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2010-10-22 |