| NPI | 1578619854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO RN.0162540) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0005171-NP) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-11-09 |