| NPI | 1134560311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0993166-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 199571) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-03-21 |