| NPI | 1619346855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 991954) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-07-24 |