| NPI | 1114034154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO RN.0106515) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RXN.0000044-NP) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0004371-NP) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-08-22 |