| NPI | 1578011003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992750-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 2016020993) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0106048-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RN.0182120) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-11-30 |