| NPI | 1487784252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 111652) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 111652) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-03-04 |