| NPI | 1295204618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139684) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2023-10-31 |