| NPI | 1649989377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-168615) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO C.APN.0100215-C-NP) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-05-22 |