| NPI | 1548379761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0004972-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 105315) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-06-16 |