| NPI | 1235100934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO SNP 100045) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO ANP100045) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 759577) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2025-04-03 |