| NPI | 1184259053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101975-C-NP) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2026-06-19 |