| NPI | 1881212850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0100551-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346082) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-07-18 |