| NPI | 1508025636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990567) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 18094) |
| 363L00000X Nurse Practitioner (Licence: CO 990567) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-09-10 |