| NPI | 1558055285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.1000017-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO R245605) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-07-31 |