| NPI | 1336690593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000616-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016033664) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-12-09 |