| NPI | 1477525095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 150328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 2701362) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |