| NPI | 1982004982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0994772-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0200591) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2024-02-13 |