| NPI | 1952938714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995739-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0995739) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0104924-NP) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-11-29 |