| NPI | 1134587066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992718-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298970) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2018-03-17 |