| NPI | 1497329924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0096540-NP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO RN.1648182) |
| 207Q00000X Family Medicine (Licence: CO APN.0096540-NP) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2022-02-09 |