| NPI | 1154438240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 4157) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 71407) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-03-19 |