| NPI | 1124772702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102097-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015767) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-04-17 |