| NPI | 1275146524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0002436-C-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11008733) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11008733) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-11-05 |