| NPI | 1760180590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0998470-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1627523) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-26 |