| NPI | 1699027565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0010361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 10361) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO NP 10361) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2024-09-05 |