| NPI | 1275185290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0994899) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0199174) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-06-18 |