| NPI | 1629509252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN214971) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993117-NP) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0993117-NP) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2022-01-07 |