| NPI | 1184773657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0004995-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0004995-NP) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-10-21 |