| NPI | 1548645856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0100364-C-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9372093) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2023-02-06 |