| NPI | 1538791454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F11190448) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012857) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-02-08 |