| NPI | 1306416094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4024420) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996626-NP) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2024-08-20 |