| NPI | 1033705793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003757-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-141584) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2022-05-17 |