| NPI | 1609354414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0993979) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 9000178581) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2023-06-23 |