| NPI | 1629640354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0996689-NP) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CO RN.1675589) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |