| NPI | 1992107536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995032-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1648343) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-03-03 |