| NPI | 1801390828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019007) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0000997-C-NP) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-10-23 |