| NPI | 1043692734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995292-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0995292) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60571450) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2021-08-24 |