| NPI | 1306340310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 260365) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 260365) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004660-C-NP) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-09-03 |