| NPI | 1811470958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994713-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F07182021) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-71423) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-02-03 |