| NPI | 1740679836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 082070-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991258-NP) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2020-03-24 |