| NPI | 1114538626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN00995863-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 64192) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 1616862) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2024-01-16 |