| NPI | 1992880637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0003574-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO NP-3574) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0003574-NP) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-07-24 |