| NPI | 1295341519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999429-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1013532) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-02-05 |