| NPI | 1679104244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0995258-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 2019057574) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 2019059336) | |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2023-01-18 |