| NPI | 1851060743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0996900-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CO 0996900-NP) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-11-19 |