| NPI | 1134212178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R48426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 91651) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |