| NPI | 1598480691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO F09220845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024036370) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-11-14 |