| NPI | 1134726003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995996-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1634720) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-11-03 |