| NPI | 1417151630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0005307-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0005307-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.0105261) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2016-10-31 |