| NPI | 1043775364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998713-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1689611) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 57883) | |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-04-08 |