| NPI | 1265795751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0005994-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 180628) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-03-31 |