| NPI | 1376098681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999363-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201606352NP-PP) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-06-26 |