| NPI | 1649884016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995627-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0995627-NP) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0995627-NP) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-05-11 |