| NPI | 1629379409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0010279-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 10279) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2023-08-07 |