| NPI | 1134710338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 12118625-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100805-C-NP) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-11-18 |