| NPI | 1952733198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991130-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RXN.0101175-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0991130) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2021-11-17 |