| NPI | 1831829332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004206-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 14120644052) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-17 |