| NPI | 1518488634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995461-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006818) |
| 163W00000X Registered Nurse (Licence: CA 95034970) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-06-20 |