| NPI | 1790376473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APRN.0003067-N-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 0117387) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2024-08-05 |