| NPI | 1730216771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 991091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 112546) |
| 364S00000X Clinical Nurse Specialist (Licence: CO 3310) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-01-29 |