| NPI | 1164003158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996429-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 115689) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 243676) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-11-13 |