| NPI | 1134683055 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RXN.0103716-NP)  | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CO APN.0994376-NP)  | 
| 163WG0000X Registered Nurse, General Practice (Licence: CO APN.0994376-NP)  | |
| Enumeration Date | 2019-01-24 | 
| Last Update Date | 2023-12-20 |