| NPI | 1871568949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 4625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 65189) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-11-01 |