| NPI | 1942676929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991986-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0200641) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0991986-NP) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-10-18 |