| NPI | 1235869132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997638-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 87744) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-02-11 |