| NPI | 1881215390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995525-NP) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CO 1651426) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-06-22 |