| NPI | 1326598210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0994188-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994188-NP) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-06-10 |