| NPI | 1194117614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991739-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991739-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.099173NP) | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2023-07-26 |