| NPI | 1255843504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0996560-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2310544) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2022-12-06 |