| NPI | 1679104483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO F11190077) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0995210-NP) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-01-05 |