| NPI | 1174665467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0001188-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 25444.0923) |
| 163W00000X Registered Nurse (Licence: CO 104658) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-07-22 |