| NPI | 1184161473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994646-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1634801) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2019-11-27 |