| NPI | 1467705616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990516-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 0990516) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2022-01-10 |