| NPI | 1275911182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-ANP0001556-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015013949) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-11-03 |