| NPI | 1821022260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0005433) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 122031) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-07-18 |