| NPI | 1275159113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A170134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001994-C-NP) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2022-08-16 |