| NPI | 1972024453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995502-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 106696) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-01-09 |