| NPI | 1295034163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991204-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20533) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 20533) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2016-10-04 |