| NPI | 1962929083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993421) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.0195830) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-04-11 |