| NPI | 1265965982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993132-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1625437) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-10-25 |