| NPI | 1811596745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0100491-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24234) |
| 363L00000X Nurse Practitioner (Licence: NE 114828) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2023-07-28 |