| NPI | 1558116178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0999425-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1659971) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-06-19 |