| NPI | 1730836024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0996926-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0996926-NP) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-09-21 |