| NPI | 1376136861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 70915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996747-NP) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2025-02-21 |