| NPI | 1770089435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993698-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0993698) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993698-NP) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-12-12 |