| NPI | 1598013260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0990823-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 734510) |
| 163W00000X Registered Nurse (Licence: CO RN.1622733) | |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0100802-NP) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2017-07-13 |