| NPI | 1932116803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO RXN99-28) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 98275) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-06-17 |