| NPI | 1033246095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 002280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 76544) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-04-30 |