| NPI | 1952823643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993070-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0993070) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |