| NPI | 1407565427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998178-NP) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-11-12 |