| NPI | 1376673848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO C-APN.0002206-C-NP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 8273) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9309138) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-10-08 |