| NPI | 1225414253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991788-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 1285219832) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-10-04 |