| NPI | 1760050413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996564-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0105646-NP) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-08-01 |