| NPI | 1588294888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-178043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995657-NP) |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2022-07-27 |