| NPI | 1255830055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APRN.0993482-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO F09170755) |
| 363LF0000X Nurse Practitioner Family (Licence: CO 0198404) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |