| NPI | 1700447455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0994864-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0108436) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-08-02 |