| NPI | 1790529196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0101954-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026941) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101954-C-NP) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-08-21 |