| NPI | 1811540677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO C-APN.0003304-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2018043386) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5012095) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-07-31 |