| NPI | 1639960388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000762-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1635307) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |