| NPI | 1437887353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997854-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1659689) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997854-NP) | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-11-18 |