| NPI | 1477063477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993453-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0180554) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993453-NP) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-01-11 |