| NPI | 1114978632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994727-NP) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4246) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-07-05 |