| NPI | 1336561919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.994616-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2263954) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2025-10-13 |