| NPI | 1922138775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991399-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 164314) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-08-19 |