| NPI | 1326281528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 6001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 115186) |
| 363L00000X Nurse Practitioner (Licence: CO 0006001-NP) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2022-11-16 |