| NPI | 1902430366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0998511-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2010024027) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2024-01-24 |