| NPI | 1205292653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992151-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TELE303571) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-05-16 |