| NPI | 1215690540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0003516-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 221220) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-03-17 |