| NPI | 1154064517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 997508) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0997508-NP) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-08-08 |