| NPI | 1508097338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0992643-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 109649) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2021-01-04 |