| NPI | 1982106084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000999-C-NP) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-09-30 |