| NPI | 1326564691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995860-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0188226) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2021-10-22 |