| NPI | 1376277814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023106) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100320-C-NP) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-02-24 |