| NPI | 1851835789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0992779-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN0992779) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-12-28 |