| NPI | 1245742824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000876-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112242) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201709238NP-PP) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2022-03-22 |