| NPI | 1154415537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0000525-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP00844) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-07-11 |