| NPI | 1417094699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0000023-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN-67963) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-02-22 |