| NPI | 1043815335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0002690-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 810469) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2021-06-08 |