| NPI | 1316471618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993638-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 13503) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17549-33) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-10-15 |