| NPI | 1538707666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM cnp60399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 60399) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN-004753-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN0995538-NP) | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2023-04-17 |