| NPI | 1073852463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990630-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0990630-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.0130378) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2017-01-03 |