| NPI | 1861047227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO CRXN0003121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003116) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003116) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-10-20 |