| NPI | 1922476456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0997864-NP) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 86006872) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2023-02-06 |