| NPI | 1124428206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991288-NP) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-12-11 |