| NPI | 1750421814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP-2152) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO Co48644) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-01-22 |