| NPI | 1558029520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 41168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003351-C-NP) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2026-03-18 |