| NPI | 1285256453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 128982634405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1622426) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995377-NP) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2023-07-20 |