| NPI | 1881243251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995895-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11004056) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-09-02 |