| NPI | 1295333144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0995964-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F09200917) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2023-03-13 |