| NPI | 1902353402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992525-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0191005) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-07-12 |