| NPI | 1215706296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0101238-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 267519) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-02-28 |