| NPI | 1316354285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991691-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1629848) |
| 163W00000X Registered Nurse (Licence: NY 6723461) | |
| 163W00000X Registered Nurse (Licence: CA 95032364) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2020-05-19 |