| NPI | 1649660093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991648-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0171753) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-02-23 |