| NPI | 1891825733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 170319) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R19655) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-09-24 |