| NPI | 1033699681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994087-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0203953) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2021-03-10 |