| NPI | 1972294247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015201A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998678-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0998678-NP) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-07-28 |