| NPI | 1679255210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998985-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0108172-NP) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-01-08 |