| NPI | 1376146894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC00S603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002457-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187132) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-06-05 |