| NPI | 1598251696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0999300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1655256) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-01-02 |