| NPI | 1205392560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0995293-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO RXN.0104530-NP) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-09-29 |