| NPI | 1356693188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993067-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1644965) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN198963) | |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2018-03-17 |