| NPI | 1902654551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102462-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 67026) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-06-11 |