| NPI | 1972513471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN0005455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 179619) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2017-07-26 |