| NPI | 1073657573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991931-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 178420) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN06-275) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-02-12 |