| NPI | 1992043459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990538-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN.0164185) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2021-06-10 |