| NPI | 1104295104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992701-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R188831) |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0000575-C-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD R188831) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC001927) | |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2019-10-16 |