| NPI | 1285112193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994150-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1657384) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007400) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-01-08 |