| NPI | 1164516498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0003734-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0003734-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 100640) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-11-09 |