| NPI | 1013492719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994361) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.0169437) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-12-11 |