| NPI | 1033193065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994208-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R718106) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-11-04 |