| NPI | 1295955045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 108372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0004261-NP) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-08-03 |