| NPI | 1922767060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997199-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 78414) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2024-10-17 |