| NPI | 1124579735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0101232-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9210439) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-02-06 |