| NPI | 1518414267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN0998355-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1640721) |
| 207Q00000X Family Medicine (Licence: CO APN0998355NP) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-03-17 |