| NPI | 1073206934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0998654-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1668130) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |