| NPI | 1831706050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995914-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95024675) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-08-17 |