| NPI | 1972864684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0990413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 180126) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-11-03 |