| NPI | 1346971199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0997743-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CO PENDING) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-08-17 |