| NPI | 1497935787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0991262-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 165239) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2021-06-11 |