| NPI | 1326798315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0102471-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 882721) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2024-08-14 |