| NPI | 1518642818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998870-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RN.0168706) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0107940-NP) | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-07-06 |