| NPI | 1114296159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103482-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4304) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2025-03-28 |