| NPI | 1417503319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0995029-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0995029-NP) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-10-30 |