| NPI | 1437779709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0995373-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0995373) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0995373) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-11-18 |