| NPI | 1790123438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0990904-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0053130) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2018-03-17 |