| NPI | 1447497433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 10328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 167043) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2012-08-28 |