| NPI | 1770685307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0003487-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 103007) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0003487-NP) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2022-05-09 |