| NPI | 1891296232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995154-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-131589) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-10-18 |