| NPI | 1881986479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992384-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0197545) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2019-05-02 |