| NPI | 1902189103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO NP-990150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN081578) |
| 163W00000X Registered Nurse (Licence: CO 111806) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2024-02-02 |