| NPI | 1063874733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993161-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008447) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-09-25 |