| NPI | 1497384564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0995437-NP) |
| 207Q00000X Family Medicine (Licence: TN 32430) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-05-10 |