| NPI | 1811240021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 164885) |
| 171100000X Acupuncturist (Licence: CO 1443) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-01-31 |