| NPI | 1770391054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0103605-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 77478) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-03-04 |