| NPI | 1477976702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0000159-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000190153) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-04-02 |