| NPI | 1114541307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 116688) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0004312-C-NP) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-11-21 |