| NPI | 1952739336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991018-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0189410) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2021-09-22 |