| NPI | 1295076297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001877-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r172017) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2020-10-28 |