| NPI | 1205058534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 93033) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography (Licence: 81605) |
| 363L00000X Nurse Practitioner (Licence: CO 93033) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |