| NPI | 1124426697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996404-NP) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO RN.0194312) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2021-11-18 |