| NPI | 1831462928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO 990325) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CO 990325) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2019-06-19 |