| NPI | 1841776291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0993965-NP) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-01-22 |