| NPI | 1164709366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0001860-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RXN.0000831-C.NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9170645) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2023-05-26 |