| NPI | 1326738360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998686-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 123456) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |