| NPI | 1306682711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC007770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999689-NP) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2025-06-29 |