| NPI | 1982170585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993596) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO APN.0993596-NP) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-09-13 |