| NPI | 1316996770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0005923-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO RN188951 APN5923) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2017-04-04 |