| NPI | 1487974804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992231-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0992231) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2024-03-01 |