| NPI | 1376994822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0104324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701458) |
| 163W00000X Registered Nurse (Licence: CO 1663819) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341541) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2020-12-10 |