| NPI | 1104552603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997309-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0997309) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-10-17 |