| NPI | 1265521173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0001788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 110102) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-05-20 |