| NPI | 1033349675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 5955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 180601) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2015-10-16 |