| NPI | 1356992606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 0994643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 2018085312) |
| 208D00000X General Practice (Licence: CO 0994643) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2022-09-14 |