| NPI | 1265907406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994198-NP) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2022-03-07 |