| NPI | 1003690397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998970-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP003805) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2025-09-01 |