| NPI | 1043984917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996904-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1633851) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0996904-NP) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-07-26 |