| NPI | 1487170502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995607-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM CNP-02757) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2021-02-08 |