| NPI | 1225323405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990078-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP990078) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01768) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-07-16 |