| NPI | 1548297864 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0002013-NP) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 130431 RN; 3548 NP) | 
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 130431 RN; 3548 NP) | |
| Enumeration Date | 2006-06-26 | 
| Last Update Date | 2019-06-18 |