| NPI | 1982861027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 150477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0005744-NP) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-01-25 |