| NPI | 1710931795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 3947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 122124) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-05-17 |