| NPI | 1154147890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103209-C-NP) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX 764248) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-01-13 |