| NPI | 1710062344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN 1838-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0108758-22) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-10-18 |