| NPI | 1215067061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 162905) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO 162905) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-03-17 |