| NPI | 1962866681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992350-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RN.0190495) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-05-03 |