| NPI | 1265073209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995102-NP) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-12-12 |