| NPI | 1508484262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995572-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO RXN.0104767-NP) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |