| NPI | 1841299062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0993671-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM NM CNP 00432) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2021-05-27 |