| NPI | 1356993190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002428-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 13998074-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11003200) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-07-08 |