| NPI | 1376140004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995619-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 46870) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-04-10 |