| NPI | 1700140407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0003160-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 110500) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-12-12 |