| NPI | 1750865374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993920-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.00993920-NP) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2025-05-20 |