| NPI | 1528738473 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0996907-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0996907) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-02-14 |