| NPI | 1770980484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998699-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0197923) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2023-09-22 |