| NPI | 1104555010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997404-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0997404-NP) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-28 |