| NPI | 1932867231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0996927-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0996927-NP) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-09-26 |