| NPI | 1396304705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994497-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1617496) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-12-17 |