| NPI | 1740673656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0993943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1651012) |
| 163W00000X Registered Nurse (Licence: NY 657654) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339685) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-10-13 |