| NPI | 1568521573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0999232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999232-NP) |
| 163W00000X Registered Nurse (Licence: CO 111416) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-10-23 |