| NPI | 1598378846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0995771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F07200424) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-02-08 |