| NPI | 1376131557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5019972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 323632) |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0104251-C-NP) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2025-07-27 |