| NPI | 1780167106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993924-NP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO RN.1625971) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |