| NPI | 1992272108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0094244-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021780) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209021780) | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2023-03-07 |