| NPI | 1407211337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992277-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000442-C-NP) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2019-09-06 |