| NPI | 1568588176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 2283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 53057) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-03-19 |