| NPI | 1487247953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1647868) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2024-05-10 |