| NPI | 1285179176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992823-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1644652) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2022-12-16 |