| NPI | 1629125133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0002618-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0117131) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0005009-NP) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-08-09 |