| NPI | 1104158757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994161-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 140779) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2018-10-08 |