| NPI | 1306592811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO F01220679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 0997325) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-07-22 |