| NPI | 1922409416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995844-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001282) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0995844-NP) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2024-09-11 |