| NPI | 1649650284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0004432-C-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 08163) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-01-24 |