| NPI | 1154643989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0010193-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 10193) |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2017-04-05 |