| NPI | 1053762922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996835-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008646) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-08-15 |