| NPI | 1780105510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993245-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0993245-NP) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2022-07-21 |