| NPI | 1467665281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990214) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CO 63743) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-01-21 |