| NPI | 1043553472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990575-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-61940) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2023-01-25 |