| NPI | 1174958326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001859-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 17894) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2021-01-28 |