| NPI | 1669085221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995977-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.0119360) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-10-25 |