| NPI | 1942298815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP-10315) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 702015) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2011-01-06 |