| NPI | 1427168954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-2507 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 47079) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-11-01 |