| NPI | 1720330889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0990387-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN0178390) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |