| NPI | 1659939650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0105208-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-174716) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-05-06 |