| NPI | 1457881625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995440-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-03252) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-03252) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-06-29 |