| NPI | 1023749744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0997665-NP) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CO APN.0997665-NP) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-10-03 |