| NPI | 1487389045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 202407188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997774-NP) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-08-08 |