| NPI | 1215134705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0005357-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 2019012763) |
| 363L00000X Nurse Practitioner (Licence: CO 164999) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 5357-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 1110) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-02-18 |