| NPI | 1629108568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0004401-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 167495) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-06-07 |