| NPI | 1699094037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP-10159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO NP-10159) |
| 163W00000X Registered Nurse (Licence: CO RN-172700) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-07-02 |