| NPI | 1528242088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 15060.0935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 181545) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2010-07-06 |