| NPI | 1275051955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-ANP.0001443-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011684) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012603) | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2024-05-16 |