| NPI | 1982128856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996441-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7116) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2359237) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-11-18 |