| NPI | 1861206088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 1000410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 202401754) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-05-09 |