| NPI | 1528730918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0997121-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0997121-NP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997121-NP) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-08-22 |