| NPI | 1932565967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995201-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1665459) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001245-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02834) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-12-03 |