| NPI | 1366564320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992298-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 631638) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-05-20 |