| NPI | 1326623323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0996099-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN0996099NP) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-04-22 |