| NPI | 1477249159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0998609-NP) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CO 21600469) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-24 |