| NPI | 1649025545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0999881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1659920) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-07-11 |