| NPI | 1801342530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992579-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN.1642158) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-11-11 |