| NPI | 1164157368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997795) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-10-03 |