| NPI | 1366498081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 16274.1045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 91400) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-08-30 |