| NPI | 1437628567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN-0004712-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 144966) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-01-12 |