| NPI | 1700316148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0995021-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 099521) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-06-29 |