| NPI | 1679676472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0004530-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0004530-NP) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-08-12 |