| NPI | 1720562408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994049-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994049-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0994049-NP) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-05-11 |