| NPI | 1609306232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO apn.0992936-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10035436) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95019984) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-05-28 |