| NPI | 1497944672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0005073-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 123488) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 123488) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2023-11-21 |