| NPI | 1760157408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO F08210421) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11021322) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11021322) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-08-23 |