| NPI | 1114157948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101476-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188893) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-03-17 |