| NPI | 1891205811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003424-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5192685-8900) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-04-15 |