| NPI | 1235784505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997002-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 207704) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-11-28 |