| NPI | 1235533803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 0189966) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0997088-NP) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2022-04-27 |