| NPI | 1528182631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0005036-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO 127477) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-10-17 |