| NPI | 1013794031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 54178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999107-NP) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-08-06 |