| NPI | 1538330113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0002761-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO RN.0116733) |
| 363LF0000X Nurse Practitioner Family (Licence: CO RXN.0099175-NP) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2020-04-28 |