| NPI | 1336376128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP10040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 107198) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-07-22 |