| NPI | 1578060513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993802-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0169249) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993802-NP) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-10-04 |