| NPI | 1447877311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0100286-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134576) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-07-15 |