| NPI | 1669693404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991611-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 161092) |
| 363L00000X Nurse Practitioner (Licence: CO RXN0101786NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 2014013731) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-12-29 |