| NPI | 1801516729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997789-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1642361) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0106799-NP) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-08-29 |