| NPI | 1508377086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994680-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1661408) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-09-23 |