| NPI | 1689047870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0992070-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9343044) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992070-NP) | |
| 163W00000X Registered Nurse (Licence: CO RN.1631955) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2023-11-27 |