| NPI | 1760725022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990702-NP) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: CO APN.0990702-NP) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-12-19 |