| NPI | 1316651540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998364.NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CO F01230508) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-02-09 |