| NPI | 1841704798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993348-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1622218) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0102931-NP) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-04-19 |