| NPI | 1366572117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 112021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 112021) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-03-21 |