| NPI | 1396154969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995822-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005830) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0995822-NP) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2021-08-12 |