| NPI | 1265249973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 40494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F12240290) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-03-12 |