| NPI | 1780820811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991255-NP) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO 165073) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2016-09-06 |