| NPI | 1982123949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994719-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1627472) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0994717) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-09-19 |