| NPI | 1821241399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990008-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO NP 990 008) |
| 363L00000X Nurse Practitioner (Licence: NV APN001084) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-04-02 |