| NPI | 1710957527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 140485) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 23983.0852) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-10-16 |