| NPI | 1174149983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 000000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995709-NP) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-08-19 |