| NPI | 1255881835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0994487) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN0994487) |
| 163W00000X Registered Nurse (Licence: CO RN.0203793) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-03-03 |