| NPI | 1528644754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102033-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79630-011) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-05-28 |