| NPI | 1114406766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004386-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9237507) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM APRN-CNP59732) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-11-21 |