| NPI | 1801441647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM F05190981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994747-NP) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2024-11-08 |