| NPI | 1235376237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0005787-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 80813) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0005787-NP) | |
| 163W00000X Registered Nurse (Licence: CO RN.0080813) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2016-03-15 |