| NPI | 1457791139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990769-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 092328-23) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-01-04 |