| NPI | 1407304504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001102-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006560A) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2023-02-27 |