| NPI | 1396477576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.00998715-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1625448) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-10-03 |