| NPI | 1891301800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1667797) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-05-31 |