| NPI | 1558582056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0003864-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0112072) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0000841) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-09-06 |