| NPI | 1114518693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 2020117515) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 2020117515) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 2020117515) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2023-02-01 |