| NPI | 1023770385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO na) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-03-28 |