| NPI | 1437118569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 120453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 658) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2010-07-08 |