| NPI | 1699328120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0994761-NP) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-05-01 |