| NPI | 1780357640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000157-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1668164) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-10-14 |