| NPI | 1508935628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0000530-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 77829) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-01-18 |