| NPI | 1164421665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0003290-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0068712) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-04-28 |