| NPI | 1336707868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994359-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0197695) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0103822-NP) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-09-17 |