| NPI | 1255972139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103458-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019024646) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-09-17 |