| NPI | 1295457240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997874-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1651923) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-01-10 |