| NPI | 1184248791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1116833) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0102036-NP) | |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2025-12-04 |