| NPI | 1124683602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994482-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1618757) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-01-28 |