| NPI | 1194873752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 115679) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 724151) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-12-15 |