| NPI | 1285761213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 1854) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 110641) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-04-09 |