| NPI | 1871000638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994252-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0188180) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 2370) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994252-NP) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-08-29 |