| NPI | 1326686353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994731-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994731-NP) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-01-30 |