| NPI | 1033752530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R48527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995068-NP) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2026-06-04 |