| NPI | 1871153270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994580-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0104078-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RN.1659321) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-03-08 |