| NPI | 1164205308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0999017-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0999017) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-23 |