| NPI | 1699710731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 121090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 121090) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-05-14 |