| NPI | 1619348042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991860-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0121014) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |