| NPI | 1235612185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 00994165-NP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO 192350) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-05-17 |