| NPI | 1205230893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995777-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN1629789) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2021-08-27 |