| NPI | 1962721993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 10348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 162065) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2021-10-04 |