| NPI | 1972646420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0000541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 60467) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2017-02-21 |