| NPI | 1932140415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 62248) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN28243) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-02-21 |