| NPI | 1689727216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 003058) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 95412) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-11-21 |