| NPI | 1811320070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995532-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1622522) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2021-06-04 |