| NPI | 1881155174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004041-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166277) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2022-08-11 |