| NPI | 1982011185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990900-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1622578) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2021-03-16 |