| NPI | 1356437974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CO 119011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 119011) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |