| NPI | 1629405162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993367-np) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CO 191068) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2021-06-11 |