| NPI | 1548826670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0003054-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5011630) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2021-08-25 |