| NPI | 1679183172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995946-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F05200856) |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2021-08-14 |