| NPI | 1881072114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993181-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0190265) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2022-02-06 |