| NPI | 1700121563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0996666-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R180429) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95004338) | |
| 163W00000X Registered Nurse (Licence: MD R180429) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2022-04-06 |