| NPI | 1447567805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 990061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 195097) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-12-16 |