| NPI | 1083583041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 1001321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0110341) |
| 163W00000X Registered Nurse (Licence: CO 1660828) | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2026-01-19 |