| NPI | 1720206980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO F02230211) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CO5511) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-07-11 |