| NPI | 1821430893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993861-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23307) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2018-08-22 |