| NPI | 1861629800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1628663) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-03-05 |