| NPI | 1164755120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999861-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 191141) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-10-28 |