| NPI | 1720822356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999702-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1626213) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-20 |