| NPI | 1730216797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 2355) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 89573) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-10-27 |