| NPI | 1043843634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 995737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014378) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2022-05-10 |