| NPI | 1467961508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996505-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342290) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2021-07-21 |