| NPI | 1760928998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992439-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0992439-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0992439-NP) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-12-18 |