| NPI | 1912682964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0100949-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R207395) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-08-02 |