| NPI | 1760921068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO ANP.0992856-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1625893) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-01-11 |