| NPI | 1174166474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 31491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994798-NP) |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2026-06-04 |