| NPI | 1033770631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101592-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-143120-102) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 5378883102) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020019740) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-02-06 |