| NPI | 1215903828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0004365-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 118585) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-01-08 |