| NPI | 1710460092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1621654) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2020-05-22 |