| NPI | 1326548686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9383429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102900-C-NP) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2026-05-12 |