| NPI | 1053685081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990344) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 990344) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-06-13 |