| NPI | 1881228104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO c-apn.0103589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2695) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1017327) | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-04-21 |