| NPI | 1033195920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0000965-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO CO 104061) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2015-11-23 |