| NPI | 1912261918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993488-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0168230) |
| 363L00000X Nurse Practitioner (Licence: MN R2099831) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-04-15 |