| NPI | 1518694686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0997869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1627101) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |