| NPI | 1356726160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 0193850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991888-NP) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2016-01-19 |