| NPI | 1144354358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 109123) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO 109123) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-03-29 |