| NPI | 1437673878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0993635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1652818) |
| 363L00000X Nurse Practitioner (Licence: CO 0107606) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2024-05-19 |