| NPI | 1396770319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0001674NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 75112) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-06-07 |