| NPI | 1982900106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0990703-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 990703) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2021-12-23 |