| NPI | 1811579741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996108-NP) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO APN.0996108) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-11-26 |