| NPI | 1902858210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0000752-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2234) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-01-22 |