| NPI | 1700255577 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991982-NP) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991982-NP) | 
| Enumeration Date | 2015-09-22 | 
| Last Update Date | 2023-11-28 |