| NPI | 1023425386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN-0991259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN0991259NP) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2021-02-12 |