| NPI | 1235470642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994275-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1658001) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994275-NP) | |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2019-03-28 |