| NPI | 1285363879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 1651656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10057224) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2026-02-24 |