| NPI | 1386395119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996427-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14193419-4405) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2026-08-26 |