| NPI | 1003701525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A184728) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104370-C-NP) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-24 |