| NPI | 1235211368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0100024-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RN.0201819) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-04-17 |