| NPI | 1861780744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991361-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 189886) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2016-08-17 |