| NPI | 1861129892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997826-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1683877) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-01-03 |