| NPI | 1649421405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0003183-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN0003183NP) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2019-06-03 |