| NPI | 1679137830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO APN.0994626-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN0994626-NP) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-07-12 |