| NPI | 1679051676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 811564) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-10-05 |