| NPI | 1588207856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995280-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0189600) |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2020-01-16 |