| NPI | 1306431564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996486-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7963) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-06-12 |