| NPI | 1639803927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004266-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 69599) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 859254) | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2023-02-08 |