| NPI | 1366790156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996812-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21979) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2024-04-30 |