| NPI | 1679184402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995828-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO 1633622) |
| 163WG0000X Registered Nurse, General Practice (Licence: AZ 257708) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 257708) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2021-06-15 |