| NPI | 1265767792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP 10151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 192552) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |