| NPI | 1285437384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 58552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO RN.0175030) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2026-03-12 |