| NPI | 1821469537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103064-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015030545) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76985-042) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-10-31 |