| NPI | 1821728494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0106709) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 1619901) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 70600) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2024-08-21 |