| NPI | 1245754738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0101839-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010306) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0101204) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2024-11-25 |