| NPI | 1194855031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0003399) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 92509) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-02-12 |