| NPI | 1912007451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0002493-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN47963) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2013-09-13 |