| NPI | 1881060630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103770-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6571-33) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-04-23 |