| NPI | 1346970142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F06220574) |
| 163WE0003X Registered Nurse, Emergency (Licence: CO RN.1655195) | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-07-11 |