| NPI | 1952850869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993422-np) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4820) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2021-03-26 |