| NPI | 1972026219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993228-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0124135) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-11-09 |