| NPI | 1972071090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994385-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN0185085) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-02-22 |