| NPI | 1720548902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202102615NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0994566-NP) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-02-08 |