| NPI | 1073872628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN 0991771 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000179592) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003745) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2015-11-29 |