| NPI | 1720652381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996210-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0996210) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-11-08 |