| NPI | 1962802728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994512-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1627982) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2021-05-14 |