| NPI | 1174996482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0001889-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9297979) |
| 363LF0000X Nurse Practitioner Family (Licence: NM 66019) | |
| 363LF0000X Nurse Practitioner Family (Licence: NV 848148) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP9297979) | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2023-03-27 |