| NPI | 1275990491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 53745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992154-NP) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2023-06-08 |