| NPI | 1184924557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990878-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0188483) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2015-02-03 |