| NPI | 1164700662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO NP 990134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP990134) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2012-08-27 |