| NPI | 1285285395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 63441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0995019-NP) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2022-05-18 |