| NPI | 1447750864 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993556-NP) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 215778) | 
| Enumeration Date | 2018-02-13 | 
| Last Update Date | 2024-04-26 |