| NPI | 1497098065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0002212-C-NP) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO C-APN.0002212-C-NP) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-10-31 |