| NPI | 1689701641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0996259-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 125532) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-07-26 |