| NPI | 1346613536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991649) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991649-NP) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-01-29 |