| NPI | 1831599000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN0999627-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN1616905) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-06-18 |