| NPI | 1285251801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0995700-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0162011) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-04-18 |