| NPI | 1821543232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-59219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001239-C-NP) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-03-25 |