| NPI | 1194085001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998295-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1653567) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0107682-NP) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2023-06-13 |