| NPI | 1013632579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998111-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32753) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2023-04-27 |