| NPI | 1790877751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0002968-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0109212) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0002968-NP) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-03-04 |