| NPI | 1710119615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998452-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20028) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2024-06-10 |