| NPI | 1699974428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 10213.0213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 87448) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-04-16 |