| NPI | 1609562461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998594-NP) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO APN.0998594-NP) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-08-02 |