| NPI | 1356911630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A178626) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996585-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0996585-NP) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-08-07 |