| NPI | 1336610476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994519-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RN.0167864) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994519-NP) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-09-30 |