| NPI | 1790032787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992885-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1645328) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02998) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2024-02-05 |