| NPI | 1275396863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000967-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 4446) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-12-16 |