| NPI | 1275015547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994148-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0140894) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-29 |