| NPI | 1063873560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992238-NP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 1621859) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2023-03-07 |