| NPI | 1407059355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0004740-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0004740-NP) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-08-23 |