| NPI | 1497162127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO RXN.0101354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 194127) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991272) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2016-10-18 |