| NPI | 1639742190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 996730) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-03-07 |