| NPI | 1922295757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5885) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CO 91517) |
| 163W00000X Registered Nurse (Licence: CO 91517) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2013-05-07 |