| NPI | 1487174173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1623120) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993282-NP) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-04-17 |