| NPI | 1255912788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997152-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1678467) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 29773) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0106175-NP) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-03-29 |