| NPI | 1710474069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993847-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993847) |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2023-05-10 |