| NPI | 1669139507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997170-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.1641919) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997170-NP) | |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2022-06-20 |