| NPI | 1134529712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995222-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1626364) |
| 163W00000X Registered Nurse (Licence: KS 123753) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2020-02-04 |