| NPI | 1720420292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991350-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 991350) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 991350) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2023-07-11 |