| NPI | 1497462048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO F10221313) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0998199) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-02-23 |