| NPI | 1164236519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO F06242160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1663329) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-06-26 |