| NPI | 1932790680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0996297-NP) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: CO RN.0191150) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-11-23 |