| NPI | 1205485802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004202-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 105898) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-08-02 |